BACK PAIN AND CHIROPRACTIC
General, acute and chronic backache, back pain (not arising from injury or accident), including lumbago
Mechanical back pain is pain in the anatomic region of the back for which it is impossible to identify a specific pathologic cause of pain. It can include back pain with or without, pain in the lower limbs which may or may not interfere with activities of daily living. Back pain is extremely common affecting 80 percent of people at some stage in their lifetime.
Common Low Back Pain generators include:
- Joint dysfunction / irritation
- Muscle spasm or sprain
- Disc lesion (bulge / herniation / protrusion)
- Sacroiliac joint
- Hips or Pelvis
- Nerve irritation
Causes of Back pain
There are many potential causes of back pain. Physical, chemical and emotional stressors all contributing factors, while some of the more common predisposing factors include:
- Postural alterations (forward head carriage, rounded shoulders etc)
- Poor lifting techniques especially whilst bending and rotating the low back
- Emotional stress can trigger back pain
- Traumas such as accidents, knocks and falls
- Pregnancy increases the mechanical load on the back and pelvis, and woman are especially prone to back pain later on in their pregnancy. Chiropractic care is very safe throughout pregnancy and the clinic benches are very accommodating.
Symptoms of Back Pain
There are many different types of symptoms associated with back pain. Back pain may be localised in the low back or it can radiate into the buttocks, groin or legs.
Patients often report pain to be:
- Shooting or Electrical
X-ray for Low Back Pain
Several conditions can affect the low back. Pain generators may include soft tissue components, facet joints or capsules as well as nerve irritation. Depending on the extent of your presenting complaint/s and after performing numerous Orthopaedic and Neurological tests to assess the low back, hips and pelvis, if applicable, with our digital x-ray facility we will be able to assess for:
- Altered spinal curvature
- Disc Disease
- Osteoarthritis (Degenerative Joint Disease)
- Soft tissue calcifications
- Congenital anomalies
Chiropractic treatment for Back Pain
Chiropractors treat mechanical back pain using a package of care that may include manual therapies (spinal manipulation), exercise, rehabilitation and therapeutic advice.
There is considerable evidence to support this Chiropractic approach to patient care:
- Airaksinen O, Brox JI, Cedraschic C, Hildebrandt J Klaber-Moffett J, Kovacs F et al:, et al. : Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006, 15 Suppl 2: S169-S191
- Bronfort et al. Effectiveness of manual therapies: the UK evidence report . Chiropractic & Osteopathy 18(3) 2010.
- Burton AK et al. European guidelines for prevention in low back pain. European Spine Journal, Volume 15, Supplement 2, March, 2006 S136-S68.
- Department of Health. Musculoskeletal Services Framework for England and Wales. 12 July 2006
- GL-Chou et al. Interventional therapies, surgery, and interdisciplinary rehabilitation for low back pain, an evidence-based clinical practice guideline from the American Pain Society. Spine, Volume 34, Number 10, pp 1066–1077, 2009.
- Nachemson A, et al. Back pain, neck pain: an evidence based review: summary and conclusions. Swedish Council on Technology Assessment in Health Care, 2000.
- National Institute for Health and Clinical Excellence. Early Management of persistent non-specific low back pain. 2009 May.
- Van Tulder M, Becker A, Bekkering T, et al. The COST B13 Working group on guidelines for the management of acute low back pain in primary care. Eur Guidelines for the management of acute non-specific low back pain in primary care. Eur Spine J 2006 Mar; 15 supp 2: S169-91.
- Vleeming A, Albert HB, Ostgaard HC, Stuge B, Sturesson B European guidelines on the diagnosis and treatment of pelvic girdle pain European Commission Research Directorate General, 2008.
- Waddell G, McIntosh A, Hutchinson A, Feder G, Lewis M Low back pain evidence review. Royal College of General Practitioners, 1999.